HENRY FORD HEALTH SYSTEM (NPI# 1356435754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356435754 |
| Entity Type | Organization |
| Organization Name | HENRY FORD HEALTH SYSTEM |
| Other Organization Name | HENRY FORD MEDICAL CENTER PHARMACY |
| Practice Address |
22777 W 11 Mile Rd Southfield MI 48033-2152 |
| Mailing Address |
30100 Telegraph Rd Ste 200 Bingham Farms MI 48025-4514 |
| Practice Telephone | 2483865252 |
| Practice Fax Number | 3483865203 |
| Mailing Telephone | 2483865252 |
| Mailing Fax Number | 2483865203 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-12-01 |
| Authorized Official Name | DANIEL KUS (VP, PHARMACY SERVICES) |
| Authorized Official Telephone | 2486421111 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301006343 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3322008 | 05 | |
| PK | 2041293 | 01 |
| Other Name | Type Code |
|---|---|
| HENRY FORD MEDICAL CENTER PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1386068609 | Henry Ford Health System | Rehabilitation Hospital | 1258 Franklin Rd, Berkley, MI 48072-2116 | 2014-02-06 |
| 1861787558 | Henry Ford Health System | Clinic/Center | 29200 Schoolcraft, Livonia, MI 48150 | 2011-06-10 |
| 1336449958 | Henry Ford Health System | Durable Medical Equipment & Medical Supplies | 39630 W 14 Mile Rd, Walled Lake, MI 48390-3909 | 2010-10-29 |
| 1992037634 | Henry Ford Health System | Clinic/Center | 2799 Wg Blvd, Detroit, MI 48202 | 2010-02-05 |
| 1316103468 | Henry Ford Health System | Pharmacy | 800 Chrysler Dr, Ste W2001, Auburn Hills, MI 48326-2757 | 2008-07-29 |
| 1073799276 | Henry Ford Health System | Durable Medical Equipment & Medical Supplies | 1191 South Blvd E, Rochester Hills, MI 48307-5453 | 2008-01-17 |
| 1174725659 | Henry Ford Health System | Specialist | 15401 E Jefferson Ave, Grosse Pointe Park, MI 48230-1328 | 2007-06-05 |
| 1770793325 | Henry Ford Health System | Urology | Vattikuti Urology Institute, K-9, Henry Ford Hospital, 2799 W. Bethune Avenue, Detroit, MI 48202 | 2007-05-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | HENRY FORD HEALTH SYSTEM | 1191 South Blvd E, Rochester Hills, MI 48307 |
| New York State Corporations | HENRY FORD HEALTH SYSTEM | 122 East 42nd Street, 18th Floor, New York, New York 10168 |
| Oregon Corporations, Companies and Business Names | HENRY FORD HEALTH SYSTEM | C/o Hfhs Governance Office, One Ford Place, 5b, Detroit, MI 48202 |
| Washington State Corporations | HENRY FORD HEALTH SYSTEM | 1191 South Blvd E, Rochester Hls, MI 48307-5453 |
| Vermont Business Registrations | HENRY FORD HEALTH SYSTEM CORPORATION | 735 John R Road Ste 150, Troy, MI 48083 |
| Street Address |
22777 W 11 MILE RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043713647 | Linda Jean Mahome | Physical Therapist | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2018-03-10 |
| 1043732068 | Brittany Michelle Schwanke | Behavioral Analyst | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2017-07-11 |
| 1033669122 | Jenny Wai-yin Lin | Pharmacist | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2016-10-12 |
| 1326422908 | Marisa Elias | Pediatrics | 22777 W 11 Mile Rd, Southfield, MI 48033 | 2015-07-14 |
| 1811376577 | Mariana Fraga I | Behavioral Analyst | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2015-05-27 |
| 1013348051 | Hfhs Center for Autism and Developmental Disabilities | Clinic/Center | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2013-12-02 |
| 1134412679 | Dina Faig Ibrahim | Family Medicine | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2011-05-17 |
| 1477764272 | Horace Horn II | Pharmacist | 22777 W 11 Mile Rd, Southfield, MI 48034-2152 | 2007-05-24 |
| 1831318849 | Meloneze Renee Blackman | Pharmacy Technician | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2007-04-25 |
| 1952520462 | Jonathan Victor Van Lare | Pharmacist | 22777 W 11 Mile Rd, Southfield, MI 48034-2152 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184260838 | Dabajarx | Pharmacy | 20905 Greenfield Rd Ste 104, Southfield, MI 48075-5344 | 2019-11-18 |
| 1003302191 | Alavar Specialty Pharmacy, LLC | Pharmacy | 18877 W 10 Mile Rd Ste 107, Southfield, MI 48075-2628 | 2018-07-02 |
| 1982065850 | Great Care Pharmacy LLC | Pharmacy | 20134 W 8 Mile Rd, Southfield, MI 48075-5659 | 2016-03-18 |
| 1255760740 | Walgreens | Pharmacy | 27505 Franklin Rd Apt 207, Southfield, MI 48034-8250 | 2013-11-05 |
| 1073958831 | Franklin Apothecary LLC | Pharmacy | 29113 Northwestern Hwy, Southfield, MI 48034-1011 | 2013-05-07 |
| 1174874994 | Rx Adams Plc | Pharmacy | 16500 N Park Dr Ste 106, Southfield, MI 48075-4710 | 2012-09-20 |
| 1598032948 | Med Drug Pharmacy Inc | Pharmacy | 26206 W 12 Mile Rd Ste 108, Southfield, MI 48034-1799 | 2011-11-29 |
| 1659648749 | Chemville Pharmacy Inc | Pharmacy | 22100 W 10 Mile Rd, Southfield, MI 48033-3232 | 2011-11-17 |
| 1912151002 | Biomed Health Solutions LLC | Pharmacy | 23815 Northwestern Hwy, Suite 100, Southfield, MI 48075-7738 | 2008-11-17 |
| 1851565048 | The Medicine Cabinet 2 | Pharmacy | 21947 W Nine Mile Rd, Southfield, MI 48075 | 2008-04-17 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on HENRY FORD HEALTH SYSTEM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.